Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (6): 91-95.doi: 10.6040/j.issn.1671-7554.0.2024.0011

• Clinical Medicine • Previous Articles    

Transjugular vein bypass for the treatment of hemodialysis arteriovenous fistula dysfunction caused by subclavian vein occlusion

HE Lanlan1, YANG Ke2, REN Wanjun3, WANG Xiaoping3   

  1. 1. School of Clinical Medicine, Shandong Second Medical University, Weifang 261053, Shandong, China;
    2. Department of Nephrology, Pingyu County Peoples Hospital, Pingyu 463400, Henan, China;
    3. Department of Nephrology, Central Hospital Affiliated to Shandong First Medical University, Jinan 250013, Shandong, China
  • Published:2024-07-15

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Abstract: Objective To investigate the clinical effect of transjugular vein bypass for the treatment of hemodialysis arteriovenous fistula dysfunction caused by subclavian vein occlusion. Methods Clinical characteristics, key points of transjugular venous bypass, and postoperative fistula function of three cases with hemodialysis arteriovenous fistula dysfunction caused by subclavian vein occlusion were retrospectively analyzed. Results Transjugular venous bypass was successful in all three patients, and none of them had any related postoperative complications. Patient 1 was followed up for 9 months postoperatively, with a patent transposition vessel and good arteriovenous fistula function. Patient 2 was followed for 33 months postoperatively, with PTA twice for anastomotic stenosis; the artificial blood vessel was patency and the arteriovenous fistula function was good. Patient 3 was followed up for 15 months postoperatively, with a patent artificial blood vessel and good arteriovenous fistula function. Conclusion Transjugular venous bypass can be an option when endovascular treatment for subclavian vein occlusion is unsuccessful or risky.

Key words: Hemodialysis, Arteriovenous fistula, Central vein stenosis, Subclavian vein occlusion, Extra-anatomic bypass

CLC Number: 

  • R459.5
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